FORM 1023-EZ for ITHACA LACROSSE CLUB INC

Field Data
EIN 82-1032524
Case Number EO-2018220-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ITHACA LACROSSE CLUB INC
Organization’s Mailing Address 407 KLINEWOODS RD
City ITHACA
State NY
ZIP 14850
Accounting period End 12
Primary contact name KELLI CARTMILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON SHORE
COACH COORDINATOR
1319 MECKLENBURG RD
ITHACA NY 14850

Officer/Director/Trustee Two

COLLIN SHORE
PRESIDENT
1319 MECKLENBURG RD
ITHACA NY 14850

Officer/Director/Trustee Three

PATRICK HOVEY
FIELD COORDINATOR
175 BIRD CEMETERY RD
LOCKE NY 13092

Officer/Director/Trustee Four

KELLI CARTMILL
TREASURER
407 KLINEWOODS RD
ITHACA NY 14850

Officer/Director/Trustee Five

JENNIFER CHRISTIANSON
SECRETARY
152 SUMMERHILL DR APT 9
ITHACA NY 14850

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELLI CARTMILL
Signature Title TREASURER
Signature Date 8/6/18

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